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ELECTRICAL
BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description. Address of Building Lot MIAMI SHORES VILLAGE. FLORIDA PERMIT N? 9181 ❑ Work to be performed under this Permit CONTRACTOR OR BUILDER Bl. Subdi- vision Sq. Ft Value of Project $ DATE 195 Contractors License No. Amt. of Permit $ BY AUTHORITY This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed. BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. UILDING LECTRICAL LUMBING COI�P1IjAOR OR BUILDEIj ., MIAMI SHORES VILLAGE, FLORIDA ERM1T N° 5420 Work to be performed under this Permit uilding [ 1' f rchitect ontractor N /y / N c r^ %• * 7'', °wilder. 4,"'J egal o Bl escription 1 1 1 4 • L y' Subdi- vision Value of Project BY DATE C . ractor's License No. Ne w /3v,t it 1%1 ddress of / �/ r Aiding ! C' 1. 1 ' 4 '4i / This permit is, granted to the contractor or uilder named above to construct the building or to install the equipment or device described in the appli- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any ans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked any time if the work is not done in compliance with such ordinances or if the plans are.change withou authorization. A further condition upon which this :r t is granted is the understanding that the contractor or builder named above a s t . :.ponsib'. +° y a thorough knowledge the ordinances and guts pertaining to the work covered hereby whether shown on the plans o . � _. • ; _ '•a the s , m: or specifications and tha a iz"' s respon- xlity forlyork done by his agents, servants or employees. 194 Amt. of i > U Permit Signed: r By IN ECTOR • In consideration of the issuance to me of this permit I agree to perform the work covered . ereunder in compliance with all ordinances and regulations staining thereto and in strict conformity with the plans, drawings, statements or specificatio n. submitted to the proper authorities of Miami Shores Village. accepting this per3rrit I assume responsibility for all work done by either myself, my agent, servant or employee. AUTHORITY =1LDING ECTRICAL UMBING vner of ilding chitect COFACTOR OR BUDDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 5306 Work to be performed under this Permit ••T• .r.r Subdi- vision DATE r 194 Contractor's License No. • i infractor Builder ' `' .gal Lot Bl. scription :_dress of Value of Amt. of ilding / ` . `,,,,' Project I Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- ion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any ns, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked any time if the work is not done in compliance with such ordinances or if the plans axe.change without authorization. A further condition upon which this mit is granted is the understanding that the contractor or builder named above , es the i?p onsibility for p thorough knowledge of the ordinances and ulations pertaining to the work covered hereby whether shown on the plans or drvivhigs.k. n'llib'raterroutper specifications and that he assumes respon- ility for work done by his agents, servants or employees. ,i / g ,;_ • INSPECTOR' f ..✓ In consideration of the issuance to me of this permit I agree to perform the work covere(rereunder in compliance with all ordinances and regulations taining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. accepting this permit , I assume responsibility for all work done by either myself, my agent, servant or employee. BY AU'fHORITY BUILDING ELECTRICAL PLUMBING ROOFING PERMIT N? 14131 ❑ Work to be performed under this Permit Owner of --- Building + - Architect Contractor or Builder -- y Legal Lot II BI. Description Address of A. Building 1. j s.r - r / 1. ' CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE ! - /- 195 Subdi- vision Value of Project Contractor's License No 4 e Amt. of Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: -.. t' °'", ^,. ` BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permjt.1 assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY BUILDING ❑ ELECTRICAL PLUMBING ❑ ROOFING Owner of Building PERMIT N? 14168 ❑ Work to be performed under this Permit Architect Contractor or Builder Legal Lot II BL Description Address of Building t 4 CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE 1- `.ri t`i 195 Subdi- vision Value of Project $ Contractor's License No Amt. of Permit $ f` This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed • BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY BUILDING ELECTRICAL PLUMBING • Owner of Building Work to be performed under this Permit_ , ¢ MIAMI SHORES VILLAGE, FLORIDA DATE �� `° 194 `,,' Contractor's License No. PERMIT N° 5306 Architect Contractor or Builder Legal Lot Description Bl. Subdi- vision Address of Value of Amt. of Building i : /' e, Project Permit ' This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the Yesponsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. , . " e Signed ' , I' By • N . �• INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authoritte of Miami Sholes Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. . fVA n Fa. CONTRACTOR OR BUILDER BY gam AUTHORITY ELECTRICAL INSPECTION DEPARTMENT \.1 APPLICATION FOR ELECTRICAL PERMIT Permit No NI 1-i j } Date L�_ , . _.� ,i Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address __..v.._..._ - �- »--- :_-�_____.�_— ..._--- - - - - -_ —. No.--- ,.,.-- ..:_-- ,,Y. -- Registered Architect and /or Engineer Employing Electrician's Name No .. Location and Legal Description Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs__ No. of Stories Service Underground Size Feeders Conduit__ MIAMI SHORES VILLAGE Main Sw.___ ‘2 ___ Amps. Type of Installation— Conduit Tubing i B.X.L. Metal Moulding Amount of Permit $_1 STATE OF FLORIDA, COUNTY OF DADE. J ss. My Commission Expires _(Signed) _ (Signed) Street_ — _____•__. Street __.G_ • -' Main Fuses_ — — _: ._:_ Amps. Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement. and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared _ to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_ _____— _— _____— __ —____ of the above described construction, that be has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public. State of Florida Master Electrican. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE•P FIXTURES NO.LAMPS REFRIG. OUTLET IRON OUTLET RANGE RANGE OUTLET CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST - / � ! , CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK ELECTRICAL INSPECTION DEPARTMENT \.1 APPLICATION FOR ELECTRICAL PERMIT Permit No NI 1-i j } Date L�_ , . _.� ,i Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address __..v.._..._ - �- »--- :_-�_____.�_— ..._--- - - - - -_ —. No.--- ,.,.-- ..:_-- ,,Y. -- Registered Architect and /or Engineer Employing Electrician's Name No .. Location and Legal Description Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs__ No. of Stories Service Underground Size Feeders Conduit__ MIAMI SHORES VILLAGE Main Sw.___ ‘2 ___ Amps. Type of Installation— Conduit Tubing i B.X.L. Metal Moulding Amount of Permit $_1 STATE OF FLORIDA, COUNTY OF DADE. J ss. My Commission Expires _(Signed) _ (Signed) Street_ — _____•__. Street __.G_ • -' Main Fuses_ — — _: ._:_ Amps. Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement. and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared _ to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_ _____— _— _____— __ —____ of the above described construction, that be has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public. State of Florida Master Electrican. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. fY 0 4 .9 iL 7 r . S " L co 2 / � .5Ega, 44-1:e /14- 9 ��e , GJ � !/ 4 eiX / lJ" I c,A / 7-/ Registered Architect and /or Engi Employing Electrician's Name Location and Legal Description Lot__ Amount of Permit $ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No. Date � / /- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted or the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be yo.rnplied with, whether herein specified or not. A copy of approved plans and specifications must be kept at ilding during progress of work. eV* .1 - Vvie ��'�"� "s game and Address _ No /0 _ Street_ _ != e' Y ���'�Y Block Street and Number where work is to be performed —No 1 Y Service Overhead Size Feeders Conduit._ Main Sw. Type of Installation— Conduit Tubing _ B.X.L (Signed No. L tie_ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition.. Repairs Amps. Main Fuses_ (Signed) Subdivision_ GG My Commission Expires Notary Public. State of Florida No. of Stories Amps. Metal Moulding ____—__— __________ Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Electncan' NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared – – -- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the______—_______— ____________ — _____________ of the above described construction, that be has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE•P'T'S FIXTURES NO.LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE SERVICE TEMP. PERM. MOTORS 0.1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST iro'''---- CHECK Registered Architect and /or Engi Employing Electrician's Name Location and Legal Description Lot__ Amount of Permit $ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No. Date � / /- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted or the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be yo.rnplied with, whether herein specified or not. A copy of approved plans and specifications must be kept at ilding during progress of work. eV* .1 - Vvie ��'�"� "s game and Address _ No /0 _ Street_ _ != e' Y ���'�Y Block Street and Number where work is to be performed —No 1 Y Service Overhead Size Feeders Conduit._ Main Sw. Type of Installation— Conduit Tubing _ B.X.L (Signed No. L tie_ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition.. Repairs Amps. Main Fuses_ (Signed) Subdivision_ GG My Commission Expires Notary Public. State of Florida No. of Stories Amps. Metal Moulding ____—__— __________ Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Electncan' NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared – – -- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the______—_______— ____________ — _____________ of the above described construction, that be has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No Owner's Name and Address ATE OF FLORIDA, 1 OUNTY OF DADE. I MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT ss. The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to licen741 by Miami Shores Village. Date / Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. No Street Registered Architect and /or Engineer P , , Employing Electrician's Name _/ No...., Street 't" Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L .Metal Moulding Amount of Permit $ (Signed) Electrical Inspector (Signed) ccepts his obligations as an employer of of Florida Permanent Supplement, and sub - contractors employed by him in the of the work such public notice or notices be performed under this permit, as are Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty tterials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No Owner's Name and Address ATE OF FLORIDA, 1 OUNTY OF DADE. I MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT ss. The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to licen741 by Miami Shores Village. Date / Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. No Street Registered Architect and /or Engineer P , , Employing Electrician's Name _/ No...., Street 't" Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L .Metal Moulding Amount of Permit $ (Signed) Electrical Inspector (Signed) ccepts his obligations as an employer of of Florida Permanent Supplement, and sub - contractors employed by him in the of the work such public notice or notices be performed under this permit, as are Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty tterials and /or workmanship. •, PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Daie 07 /0R /qR Job Address 102 N.E. 94th Street Tax Folio 11 -3206 -013 -2990 Legal Description Historically Designated: Yes No Owner/Lessee / Tenant Master Permit # Owner's Address Phone Contracting Co. Luzer Electric, Inc. Address 3371 N.W. 154th Tarr.. Miami. 330154 g531 Qualifier Wayne Huizenga SS# Phone 1-6R State # E C 0 0 0 5 4 0 Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Service change upgrade to 200 amps. Square Ft. Estimated Cost (value) $1,200.00 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named co . tra oy to do the work stated. N �. r. - ` t a nT My Corifunission : 4 ° ' ts ➢ -11 - &' r�1tica1,2�tFU3PLCS 07 FLORIDA :OMM1SSICINT NO. CC719 103 MY COMMISSION ISSIO E1C1'. WAR _1, 42 FEES: PERMIT/ 3,,5 ' RADON Date BRENDA J. CARTER _. . Notary Public, Slats of Rorida My Comm. Expires April 13, 1Sp9 Bonded Thai gtfirt31 }l e a OrtiNsa 1 — ( 72 3 -0121 Notary as to Co - . r or Owner - Builder My Cp ss ' ' Tres: C.C.F. 1. NOTARY 5 - Builder Date !X Date BOND TOTAL DUE APPROVED: Zoning Building Electrical Mechanical Plumbing Engineering ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS 200 A DUCT WORK FLOOR DRAIN SERVICE REPAIR/IETER CIANGE / pia REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE (MOUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIOENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS /ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 FP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMAING POOL OUTLETS COMMERCIAL - WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK . UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4' TILE/RES. VIOLATION PUMP 8 ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING • LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION ELECTRICAL MECHANICAL Eni..5:Z "J'IU Aq ij APROVED NMI aecialcAL ?iCERNil CWAKA.1 ROC7c,',0 V.S.B.iECT TO C CE VJT U. Siff: AED COV RULES ED TiCsULAIIDZS. E..77:733};ONS VLLWE SES 1\ RES?ONISIBIUTES FOR ACCURACY Ci RESUL7S FRO:41 THESE ?.AS. BUP_DIE3 CODE AS ADOPTED BY BUiLDEFt & SUi? 72 Afri, CVARGEC' cgOIVLEDGE OF BUILDINr u, Dif SPECiRCAO F.,\:DiOATED HaRE10. 3 DRIP LOOP CO BE 3 0' A FG CAIN) LL.ihP i 2' ABOVE fttu]F 1 .' KAM. fltsYcN ECT • • • 1r 10 mail r ?i.M1'c %CI04 • 111i~ISItED GRABE PVC sur WO )(W BEPTN 15. bur CLAW "r Rua 41)u 1 _. _ • CONTR SIG AT NOTAnit k13Lk UR viii: I" - -I- kiph.t_ CP-bcp _ ... Corwiuc for size - 5 1 1417 ' Ct 6011 (3 y F/L ondutf Srt r ` n /Mk ` Caitdt4t type 6- T} al Ground whrC A [ Rating . rfa>t Sulu $reat(ert • SUB FEEDE B Y rr r -- -- . 0 o MK. Neer(_ Ext TypQ i✓j_ Bond Utz 4.��/„ INSIDE PANEL Ralane LLJ _a+•Qs Gr�C t3T /e�/G Band 3L.+se Vas V Ho L DCi. in w .L Nc- 40/ PER s.F.$3.c, 95016. ?(a) tail L 1- 00 R. - E1RENDA I. CARTER Notary Public. State of Rorida My Corr>n. Expires Aprit 13. 1999 No. CC 445711 * Official Notary £rri1cr 1 .(1300) 723 -0121 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date _3 - 1 g Job Address 10 G � & '1 5 +, Tax Folio 3 d® - 6 0 — - ` C Legal Description V S' �l � .. Historically Designated: Yes No Owner/Lessee / Tenant S h ' J (D4_ Master Permit # t // II 4 5 �7 Owner's Address 10 A 6� ' L, q(-1- - {� D� 1 Gl ) 3 I- gPh �- -)O S " 7 S I .J 7 - 7 Contracting Co. l.. 0 {re a o e �-- Qualifier E- G� () C GK V1(10 re) o - 6 State # 0400 g� 1 q � Municipal # 3O --d ( 4 V g5 Competency # (� 4' ( 3 Ins. Co. 1\-11 CC C- Z- 6 r 6 Architect/Engineer 124'& '1, e.t Address q50 S 5.W. / 7 k ie . Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING LECTRICPLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION 140 �� ?oo i Square Ft. Estimated Cost (value) oO O d'vl I CAAA a.. L_% or e- -.., o ne / Phone 3CS J - 9 � WARNING TO QWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signature of owner and/or Condo President Date Signature of Contractor or wner- Builder Date . E 4J4-'d 7- 3 -- ig Notary as to Owner and/or Condo President Date Notary as to Contractor or Owner- Builder Date My Commission Expires: My Commission Expires: :�� 0. : • __<<, ,- ∎;n - 1. ; Comm Ego. 12/22/2C : r � 07A4t��c�i „ s °U3LIC n! uoilciad By Service In CC50g322 yr Pcr°.An£!ly Known (10ih:r FEES: PERMIT Xr,4 7 RADON C.C.F. APPROVED: Zoning Mechanical Building Electric NOTARY TOTAL DUE 1 Plumbing Engineering I O SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REPRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. ACE H STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK_ _ - . MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No i Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. �% �j t /' 4 /N Owners Name and Address.���' " Y No /`' Registered Architect and /or En ineer )� (a i'�/ �/� / Employing Electrician's Name. .. . ' / 4 b —4 ° L No _ Street �/ ; ' �" ' _ Location and Legal Description Lot Block Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Street Street C r 9/ ✓ r Subdivision Repairs No. of Stories Service Overhead Site Feeders Conduit Underground Type of Installation — Conduit Tubing Amount of Permit $ d1` STATE OF FLORIDA, COUNTY OF DADE. I "' Main Sw. Amps Main Fuses Amps The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors •r work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to licensed by Miami Shores Village. B.X.L Metal Moulding cf (Signed) I tAre " (Signed) Electrical Insp4ctor. c • ts his obligations as an employer of f Florida Permanent Supplement, and subcontractors employed by him in the of the work such public notice or notices be performed under this permit, as are k — L Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Owner's Name and Address. Registered Architect and /or Engineer ..._..._.. Name and address of licensed contracto Permit No Disapproved (Signed) MIAMI SHORES VILLAGE Date BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. • /I -7;A Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done.. /4 ?-- ' Dade ..6 14:__ No 2 New Building Remodeling Addition Repairs No. of Stories Read, Sworn to and Subscribed before me. ,19 State work to be done and purpose of building (by floors) and for no other purpose. To be constructed of Kind of foundation Roof Coveringh:' ` Estimated Total cost of improvements $ � P . Amount of Permit $ J �l Zone cubage required _Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida, Pennan Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors e F.loyed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work s public notice or notices as are required by the Act. The undersigned agrees to employ only such u. ontra.to.:, yvork to be ed under this pennit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida Buildi .inspector My Commission Expires PLANNING BOARD DATE Chainnan Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Architect Contractor or Builder Legal Description Address of Building Lot CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA BUILDING ❑ ELECTRICAL ❑ DATE 195 PLUMBING ❑ PERMIT N? 91 81 Contractor's License No ROOFING ❑ ❑ Work to be performed under this Permit Owner of Building Bl. Subdi- vision Sq. Ft Value of Project $ Amt. of Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY UILDING LECTRICAL LUMBING uildingf it rchitect ontractor •. • °,Builder egal Lot;, Bl. escription r MIAMI SHORES VILLAGE, FLORIDA DATE F 194_ PERMIT N? 5420 Contractor's License No Work to be performed under this Permit Subdi- vision ddress of ;- tM l 0. Value of Amt. of uildin -•'• '" / , Project Permit f This permit is, granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any ans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this -rmit is granted is the understanding that the contractor or builder named above assumes the sesponsibility for a thorough knowledge of the ordinances and gulations pertaining to the work covered hereby whether shown on the plans or drawings cr in the statements or specifications and that he ask ,ih s respon- ty for work done by his agents, servants or employees. Signed: By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations -rtaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY F ,0- JILDING ECTRICAL UMBING veer of i_lding chitect MIAMI SHORES VILLAGE, FLORIDA DATE 194_ PERMIT N° 5306 Work to be performed under this Permi Contractor's License No ,retractor Builder :gal Lot Bl. Subdi- :scription vision !dress of Value of Amt. of ildin Project Permit - This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- ion herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work will be performed in compliance with any ns, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked any time if the work is not done in compliance with such ordinances or if the plans are clanged without authorization. A further condition upon which this - mit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and ;ulations pertaining to the work covered hereby whether shown on the ptans or drawings or in the statements or specifications and that he assumes respon- ility for work done by his agents, servants or employees. Signed By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations taining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CON RACTOR OR BUILDER BY AUTHORITY BUILDING ❑ ELECTRICAL Li' PERMIT N? PLUMBING ❑ ROOFING ❑ Owner of Building CONTRACTOR OR BUILD3R MIAMI SHORES VILLAGE, FLORIDA 14131 Work to be performed under this Permit Architect Contractor or Builder Legal Lot II Bi. Description Address of Building a As Subdi- vision Value of Project $ DATE 195 Contractor's License No. Amt. of Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Lot II BI. Description Address of Building CONTRACTOR OR BUILDER MIAMI SHORES V LLAGE, FLORIDA .❑ PERMIT N? 14168 ❑ Work to be performed under this Permit Subdi- vision. Value of Project $ DATE 195 Contractor's License No Amt. of Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY • BUILDING ELECTRICAL PLUMBING a Owner of Building Architect PERMIT N° 5306 1 r _ < Work to be performed under this Permit 'i, rl, .1444_4' .;1 ,,, 7 , r, _ MIAMI SHORES VILLAGE, FLORIDA DATE Contractor's „, License No. r' 194" Contractor 1 .,1 i _ _ _� sa or Builder f r "'fi;n , t \= +.. , i,kC -' -- Legal 't ot Bl. Subdi Description vision Address of �N , (` ,. , d / Val of Amt. of t Building / N ' -. i ' .� - Project Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans . are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above .a s�s es the, e sponsibility,fos a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or dr aw ents. r specifications and that he assumes respon- sibility for work done by his agents, servants or employees. / n s r in the' staten % C. j Signed,- -, - -,,' %/ ,l y /J�,, - . ( . 4 ,. By �. � INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work coverecf`herenA in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authoritte of Miami Sholeffilljige. In accepting this permit I assume responsibility for all work done by either myself, my aged, servant or employee. ;a 1 : : ' /1, � CONT OR BU BY ] AUTHORITY Permit No.____ -... - _________ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and all provisions of tha Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. a Owner's Name and Address _- _:A__f�'�___r— ___ -1l % : - - "=` No. z - Street_ _ Z_____^___ Registered Architect and /or Engineer L_.,- _ %_�i' ' /� L : 7 :_____________________ -- Employing Electrician's Name _ � C , L,1� -! �� �� �� ���v ._"------- :�- �-' - -- , . X _ --- _ . c / No .: creel_____,= t Location and Legal Description Lot �/ g >- -- - _l Block z...__-_,, --Y Subdivision - 2_ - =�.. �— = — - �� ) , 6 F? Street and Number where work is to be performed —No L40 g �1____r__ _ -- Street t°—_ ____‘_____ /'- State work to be performed and purpose of building (By Floors) _- �_=;_= _2_ (,` ) z ( , _ — - - - -___ Remodeling Addition Repairs No. of Stories___________ New Building Amount of Permit $_ e STATE OF FLORIDA, COUNTY OF DADE. ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT (Signed) WO (Signed) Date_ My Commission Expires Notary Public. State of Florida Service Overhead Size Feeders.- I c 2 ./ " .0 Amps. L -_- Underground Conduit_ �� Main Sw.___ __ ___ M ain Fuses_— _____. Am ps. Type of Installation -- Conduit Tubing / — B.X.L Metal Moulding _—_________ __ ________ _______ _____ _________— ___________ Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Electrican. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared — -- — -- — - to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_ ______________ —__— of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO.LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT CONN. SPACE HEATER STRIP HEATER TOTAL LN TR. CONTR. z_ �f,.. '; %� J Cam //p // `.7 CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIsr CHECK Permit No.____ -... - _________ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and all provisions of tha Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. a Owner's Name and Address _- _:A__f�'�___r— ___ -1l % : - - "=` No. z - Street_ _ Z_____^___ Registered Architect and /or Engineer L_.,- _ %_�i' ' /� L : 7 :_____________________ -- Employing Electrician's Name _ � C , L,1� -! �� �� �� ���v ._"------- :�- �-' - -- , . X _ --- _ . c / No .: creel_____,= t Location and Legal Description Lot �/ g >- -- - _l Block z...__-_,, --Y Subdivision - 2_ - =�.. �— = — - �� ) , 6 F? Street and Number where work is to be performed —No L40 g �1____r__ _ -- Street t°—_ ____‘_____ /'- State work to be performed and purpose of building (By Floors) _- �_=;_= _2_ (,` ) z ( , _ — - - - -___ Remodeling Addition Repairs No. of Stories___________ New Building Amount of Permit $_ e STATE OF FLORIDA, COUNTY OF DADE. ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT (Signed) WO (Signed) Date_ My Commission Expires Notary Public. State of Florida Service Overhead Size Feeders.- I c 2 ./ " .0 Amps. L -_- Underground Conduit_ �� Main Sw.___ __ ___ M ain Fuses_— _____. Am ps. Type of Installation -- Conduit Tubing / — B.X.L Metal Moulding _—_________ __ ________ _______ _____ _________— ___________ Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Electrican. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared — -- — -- — - to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_ ______________ —__— of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. L Permit . . . . _ _ _ _ _ _____ and Address Registered Architect and /or Engi Amount of Permit $ My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Service Overhead Size Feeders Conduit__ Main 'Sw. Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding (Signed Date Amps. Main Fuses_ Notary Public. State of Florida /f./2____ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted or the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be lied with, whether herein specified or not. A copy of approved plans and specifications must be kept at 'Wing during progress of work.1 ' 6,0 reic e Tyr _ } _ No.______ __ Street - Employing Electrician's Name 4 ' a.. No / -" 7 4L. c A___ Street__ Location and Legal Description Lot Block _________�__ _ Subdivision___ ___________ ________________ - Street and Number where work is to be performed —No. 7f ' C.. # Street____f 0 _ see ?`Y`T State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs ____ No. of Stories Amps. Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Elect man. STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared _ to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is of the above described construction, that he has carefully read the foregoing application, and that be did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO.LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST J CHECK Permit . . . . _ _ _ _ _ _____ and Address Registered Architect and /or Engi Amount of Permit $ My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Service Overhead Size Feeders Conduit__ Main 'Sw. Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding (Signed Date Amps. Main Fuses_ Notary Public. State of Florida /f./2____ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted or the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be lied with, whether herein specified or not. A copy of approved plans and specifications must be kept at 'Wing during progress of work.1 ' 6,0 reic e Tyr _ } _ No.______ __ Street - Employing Electrician's Name 4 ' a.. No / -" 7 4L. c A___ Street__ Location and Legal Description Lot Block _________�__ _ Subdivision___ ___________ ________________ - Street and Number where work is to be performed —No. 7f ' C.. # Street____f 0 _ see ?`Y`T State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs ____ No. of Stories Amps. Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Elect man. STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared _ to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is of the above described construction, that he has carefully read the foregoing application, and that be did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. ATE OF FLORIDA, OUNTY OP DADE. ss. Street and Number where work is to be performed —No MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT o Permit No 4 e �C Date / lJ _ �' O Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address .Y/ , /... " ;, 7 if /. .. ! No %'� Street . / e. Registered Architect and /or Engineer G, ..' n Employing Electrician's Name ...i7 P ..�.... A A.. . ....,:.`,., No 7 7 / Street /1/4 2 :'12) % 1 / rj Street...L' / 0 /,/ Location and Legal Description Lot Block Subdivision State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding Amount of Permit $ (Signed) Electrical Inspector The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to license . by Miami Shores Village. (Signed) ccepts his obligations as an employer of of Florida Permanent Supplement, and subcontractors employed by him in the of the work such public notice or notices be performed under this permit, as are Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty tterials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES No. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. /' „ e,/ p U :. ii f / Vim MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST i , CHECK t.. a , .. ATE OF FLORIDA, OUNTY OP DADE. ss. Street and Number where work is to be performed —No MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT o Permit No 4 e �C Date / lJ _ �' O Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address .Y/ , /... " ;, 7 if /. .. ! No %'� Street . / e. Registered Architect and /or Engineer G, ..' n Employing Electrician's Name ...i7 P ..�.... A A.. . ....,:.`,., No 7 7 / Street /1/4 2 :'12) % 1 / rj Street...L' / 0 /,/ Location and Legal Description Lot Block Subdivision State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding Amount of Permit $ (Signed) Electrical Inspector The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to license . by Miami Shores Village. (Signed) ccepts his obligations as an employer of of Florida Permanent Supplement, and subcontractors employed by him in the of the work such public notice or notices be performed under this permit, as are Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty tterials and /or workmanship. Date n7 /011/qR Job Address 102 N.E. 94th Street Tax Folio 11_3706 -013 -2990 Legal Description Historically Designated: Yes No Owner/Lessee / Tenant S /1 £ Y Q c, K. Master Permit # Owner's Address Phone ContractingCo. Luzer Electric, Inc. Address 3371 N.W. 194th Tarr.. Miami, 43054 ctS3t Qualifier Wayne Huizenga SS# ��- Phone inq-6R1-Pqal State# E C 0 0 0 5 4 0 Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Service change upgrade to 200 amps. Square Ft. Estimated Cost (value) $1,200.00 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOU I" FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named co • tra o to do the work stated. MkIT Si: u a = owner and/or ,ndo President Date 0 ill ../,hw�1 N...: 77:: ,• . J �i in ilen My Co • 'ssion : , q -: r g$ J VII.LAR MARY PU : I.YCSTATE OF FLORIDA L COMMISSION NO. CC714103 MY COMMISSION EXP. MAR. 1,2002 FEES: PERMITX 3 ' RADON PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 7 g4V Date rign;t. , of Contrac ‚ 1u ss Tres: r or Owner - Builder BRENDA 11. CARTER Notary Pubic. State of Florida My Comm. Expires April 13, 1999 ` +aort ! Th or 3U t m ta H 1 s mire 1 -0300) 7 23 -0121 Notary as to Co My :... - TOTAL DUE - Builder Date Date C.C.F. 1. 24 NOTARY 5 BOND APPROVED: i/ _ ./d1L Zoning Building Electrical /: — ► �.� Y 1B Mechanical Plumbing Engineering ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS 200 A DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE 0 0 JI / d. REFRIGERATION LEASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS /ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER- REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COM,ERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, Al" TILE/RES. VIOLATION PUMP 8 ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING • LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING 1 (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION ELECTRICAL MECHANICAL APPROVED BY DATE ZONING STRUCTURAL EL,CTRICAL PIAIMBING MECHANICAL ROOFING BLDG. OFFICIAL i SUBJECT TO COMPLIANCE WITH ALL FEDERAL, STATE AND COUNTY RULES AND REGULATIONS. Min SHORES VILLAGE ASSUMES NO RESPONSIBILITIES FOR ACCURACY OF OR RESULTS FROM THESE PLANS. OT. SICE -WITH THE SOUTH; FLORIDA BUILDING CODE AS ADOPTED BY r22 VARES VILLAGE IS REQUIRED. THE ARCHITECT, BUILDER & SUB b .: ' ORS ARE CHARGED'WITH THE KNOWLEDGE OF ALL BUILDING 1 n'`1on ais WHETHER OR NOT SPECIFICALLY INDICATED HEREIN. NAM SHORES VILLAGE G 3 DRIP LOOP ICJ BE 30' (AFC, (11I1•1) 200A S 'METER • •t, 2' ABOVE RUC IF • • r PI.Ar11C OtLia1G • ru ►ISI IED GRADE i 11 HIS UP Tit 1 MAIM C) PANEL q :EMI liar LZ.MIP x/O - Efr AEI1tM Rua 4u1u 1I Roluto Sub $recaters SUB CB Spod Ma et_ � thiS PANEL C f 4t ' LZ J a.f,s ex i, rI v& Bat+d Ius a V V 140 ,1..DC ttop zmNC9„1OOM PER S.F.B.t. ORS.? Q) • I'ANeL NOTARY knLk UR rlr;s i - Might_ U NDER CP 9 __... Concfuctor scrr S�n!/G C +L' 1 ta FIL UM�1X'� StzC..t.4 y 2 42131k s Corldat type GJZ�_ Thru roof___. Yom —A46 (�� Ground wire c_ .L_ L SUB FEE12 P FR By, • New New •• -S • 1 20 G _ C2 Anp. \/' E-i ]i DA 1. CARTER Notary ublic. Slate of Florida My Comm. Expire; April 13, 1999 Mo. CC 445711 rt i 1hry Otttatat Magee Osaotn 1 (800) 723 -0121 .. - +5... • PERMIT APPL FOR MIAMI SHORES VILLAGE Date —3 ✓ — U Job Address 1 0 w � • � " S + . Tax Folio 1 1 - 3 gO -Coo J - a : - I - 0 Legal Description (re. S &V1 CL Historically Designated: Yes No Owner/Lessee / Tenant Sfr I ock - /1/4ScJd-en Master Permit # I r � c i GQ J ore Owners Address 1 D A t J' G" q , ` i 54 fl OY3 a i (.3cSPhone s 36 S 2 7 S - Z Z 7 i ►%-c / 4 it Contracting Co. Co rre a -De C--1 - C- Address ( (I 00 S. u). 13 ( l -ear . 3- 7i- Qualifier [-)cc lino rreJ 04' t a SS# Phone 30s _ZS a — 6S State # 0 g i l q Municipal # 30 —4 ( V � -S Competency # 1 ( (3 Ins. Co. i' a C — G Architect/Engineer Fie/l �'� �'" - Address q � J q 5 5 •L• -7 7 kue- , Bonding Company Address Mortgagor Address Permit Type (circlle one): BUILDING LECTRI ` PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN ?0 0 1 WORK DESCRIPTION 140d k - Square Ft. Estimated Cost (value) Lj • D v WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signature of owner and/or Condo President Date Signature of Contractor or Notary as to Owner and/or Condo President Date Notary as to Contractor or Owner- Builder Date My Commission Expires: My Conunission Expires: a o \ HSHLIL I. autLUN© kec. 13 My Comm Exp. 12/22/2000 MOTAR Bonded By Service Ins CC609622 ersonally Known I) Other I.D. FEES: PERMIT X,d, 7. air RADON C.C.F. NOTARY TOTAL DUE r wner- Builder Date E 8?- 3 -qg APPROVED: Zoning Building Electrica Mechanical Plumbing Engineering